NDC 904208560
Reported by 15 hospitals in the network under the other methodology.
Low
$0
Average
$2
Median
$1
High
$10
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 15 hospitals; the 90th percentile is 19.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bluffton Health System LLC | Bluffton, IN | $1 | $1 | — | — | $1 | $3 |
| 2 | Dukes Health System LLC | Peru, IN | $1 | $1 | $0 | — | $1 | $4 |
| 3 | St. Joseph Health System, LLC | Wayne, IN | $4 | $4 | — | — | $1 | $4 |
| 4 | Northwest Sahurita Hospital LLC | Tucson, AZ | $0 | $0 | $0 | — | $0 | $1 |
| 5 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $0 | $0 | $0 | — | $0 | $1 |
| 6 | Northwest Hospital LLC | Tucson, AZ | $0 | $0 | $0 | — | $0 | $1 |
| 7 | Foley Hospital Company LLC | Foley, AL | $1 | $1 | $0 | — | $0 | $1 |
| 8 | QHG of Enterprise Inc | Enterprise, AL | $1 | $1 | $0 | — | $0 | $1 |
| 9 | Gadsden Regional Medical Center LLC | Gadsden, AL | $1 | $1 | — | — | $1 | $1 |
| 10 | Bullhead City Hospital Corporation | City, AZ | $5 | $5 | $2 | — | $1 | $12 |
Ask Claude or any MCP client for NDC 904208560 pricing at a specific hospital — see how to connect.